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Penis enlargement

What is the Penis enlargement?

Penis enlargement (penoplasty, or phalloplasty) surgery includes penis enlargement and/or lengthening, where the augmentation is either in the length of the penis, or in the girth or width of the penis.

The flaccid penis varies considerably in size, ranging from less than 5cm to over 10cm (2 to 5 inches). The size of the flaccid penis does not determine the size of the erect penis.

No widely accepted definition of what is an abnormally small penis exists, but guidelines for selection of men for penis enlargement (penile augmentation surgery) recommend that only those with a flaccid length of less than 4cm (1.6 inches) or erect length of less than 7.5cm (3 inches) should be considered for surgery.

Despite being reduced in size, a penis smaller than the average will still function as normal and problems are only noted, often leading to a lack of self confidence, when with a sexual partner and vaginal penetration is attempted.

What is the procedure?

Modern penis enlargement and penis lengthening surgery is a comparatively small surgical intervention and can therefore be carried out with local anesthesia, although general anesthesia is also possible. The surgery usually takes about 1 – 2 hours. It may be necessary to have a circumcision performed at the same time as the lengthening and/or enlargement procedures, as this avoids swelling of the foreskin, which can last for several weeks.

Penile lengthening operations require a skin incision at the base of the penis as it joins the body just below the pubic bone. The incision is continued down to the shaft of the penis where a special band or 'suspensory' ligament holds the penis up to the pubic bone. By cutting the suspensory ligament, the penis is allowed to fold down, thereby adding some length to the non-erect penis.

For increasing penile girth (thickness), the surgery may be performed with a lengthening procedure or on its own. There are two techniques in common use:

- injection of liposuctioned fat, from the abdominal wall or thighs, into the dartos fascia, under the skin of the penile shaft;

- placing grafts of dermis (a layer of tissue from under the skin surface that is well supplied with blood vessels) and fat from the groin or buttock area within the penile shaft.

What kind of result can you expect?

As a result of the penis enlargement surgery (penis lengthening and widening), the penis will extend farther out of the body and hang lower. It therefore looks larger, especially when the man is wearing underclothing and swimwear.

The erectile capacity and fertility are not negatively affected by the penis enlargement surgery.

Recovery period and recommendations

Patients are normally recommended to rest and recover for a week following the surgery before returning to work.

Following penis lengthening/enlargement surgery you should expect some pain and discomfort for a few days which can be treated with over-the-counter or prescribed pain relief tablets. There will normally be some swelling, numbness and bruising to the area which should fade after a couple of weeks.

With lengthening procedures you can expect a small, permanent scar in the area at the base of the penis, although this is often masked by the pubic hair once it re-grows.

Exercise should be avoided for 3 – 4 weeks and sexual activity can normally be resumed in a month, although full results of the lengthening procedure may not be achieved by this point and can take 3 – 6 months.

Post-recovery the functioning of the penis will be completely normal, both in terms of urination and erection ability.

Possible side effects and complications

Apart from the risks of infection and bleeding, specific complications exist for penis enlargement surgery. The risks of lengthening procedure include scrotalisation of the penis, in which the penis appears to arise from the scrotum instead of the abdominal wall and sloughing of the skin used to increase penile length (the skin has a poor blood supply and therefore dies, leaving a deep, ulcerated area).

Risks of girth (thickness) increasing procedures may include loss of girth due to fat reabsorption or nodule formation, if the implanted fat does not disappear uniformly. The penis can be left with a deformed appearance, with irregular fatty lumps all over it.

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